Yadira Ibanez MS

NPI 1265700645 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1265700645
Gender Female
Enumeration Date 12/13/2011
Last Updated 12/13/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
611 SE 38TH ST
LAWTON OK, 73501-8401, US
Phone (580) 248-5436
Fax
Business Location
611 SE 38TH ST
LAWTON OK, 73501-8401, US
Phone
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Yadira Ibanez MS NPI is 1265700645, taxonomy code is 171M00000X Yadira Ibanez MS physically located at 611 Se 38th St, Lawton OK, 73501-8401. NPI Number Yadira Ibanez MS has the Individual type.

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1265700645 NPI number is provided on an as is basis without warranty of any kind. 1265700645 is maintained by the National Plan & Provider Enumeration System. The contents of Yadira Ibanez MS are for informational purposes only.